Individual
CLYDE KNOBLAUCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
415 ROLLING OAKS DR, #215, THOUSAND OAKS, CA 91361-1029
(805) 496-2456
Mailing address
415 ROLLING OAKS DR, #215, THOUSAND OAKS, CA 91361-1029
(805) 496-2456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46400
CA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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